Implementation of Patient Evaluations of Residents Using a New Electronic System

May 17, 2016 9:45 AM – 11:15 AM

Sheila O’Brien, BM Edu, Linda Thomas-Hemak, MD, Meaghan Ruddy, PhD, Qi Shi, MD, Abdulrhman Alzhrani
The Wright Center for Gradate Medical Education

Introduction

Patient engagement is the heart of high-quality and safe patient care. Therefore, we instituted a method to record and track patient evaluations of residents on a regular systematic basis using an electronic evaluation system. Patient evaluations are included in the residents’ mid-year and end-of-year evaluations.

Methods

The evaluations specialist assigns the patient evaluations (the required two per resident per block) in the software before the start of the residents’ rotations and sends the list of the rotations to the clinic volunteers. Volunteers ask questions that focus on patient care and procedural skills, interpersonal and communication skills, and a question on resident recommendation after the resident has finished his/her visit with the patient. Each question is scored on a scale of 1 through 5, with 1 meaning strongly disagree and 5 meaning strongly agree. The volunteers then enter the results of the interview using a tablet equipped with the evaluations software. The evaluations are stored in the software database.

Results

Because of the electronic system, we can run reports and closely track at any time that the required number of evaluations are being completed and recognize any deficiencies in the process immediately. The system has also enabled us to increase the number of patient evaluations being done. From January 1–June 30, 2015, we collected 62 patient evaluations. From July 1–December 21, 2015, after implementing the new system, we collected 97 patient evaluations, for a 56% increase in evaluations collected.

Conclusion

The implementation of the electronic system to collect patient evaluations has had a two-fold result: it has improved our tracking ability and increased the number of evaluations collected.